Healthcare Provider Details

I. General information

NPI: 1144675604
Provider Name (Legal Business Name): LILIANY QUINTERO GARCIA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2016
Last Update Date: 09/11/2025
Certification Date: 04/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E HIGH ST
POTTSTOWN PA
19464-5008
US

IV. Provider business mailing address

2058 MAPLE AVE APT C2-7
HATFIELD PA
19440-1586
US

V. Phone/Fax

Practice location:
  • Phone: 845-665-9151
  • Fax:
Mailing address:
  • Phone: 845-665-9151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN643936
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: